神经损伤与功能重建
神經損傷與功能重建
신경손상여공능중건
NEURAL INJURY AND FUNCTIONAL RECONSTRUCTION
2014年
5期
411-412
,共2页
不良事件%痴呆%走失
不良事件%癡呆%走失
불량사건%치태%주실
adverse events%dementia%lost
目的：分析痴呆患者住院期间发生走失的原因。方法：对在我科住院期间发生走失事件的痴呆患者20例的临床资料进行回顾性分析，对其病因、走失前因、时间、寻获地点及结局进行分析。结果：本组75%的患者为血管性痴呆或老年痴呆；75%的患者走失的前因为照料者不在现场或医生（护士）未宣教；70%的走失时间发生于12：00～18：00；所有走失患者均被寻获，75%的寻获地点位于院内；本组走失事件均导致不同程度伤害。结论：痴呆的病理生理特点、护士对痴呆认知程度的不足及医院管理方面的不足是住院痴呆患者发生走失事件的主要原因。
目的：分析癡呆患者住院期間髮生走失的原因。方法：對在我科住院期間髮生走失事件的癡呆患者20例的臨床資料進行迴顧性分析，對其病因、走失前因、時間、尋穫地點及結跼進行分析。結果：本組75%的患者為血管性癡呆或老年癡呆；75%的患者走失的前因為照料者不在現場或醫生（護士）未宣教；70%的走失時間髮生于12：00～18：00；所有走失患者均被尋穫，75%的尋穫地點位于院內；本組走失事件均導緻不同程度傷害。結論：癡呆的病理生理特點、護士對癡呆認知程度的不足及醫院管理方麵的不足是住院癡呆患者髮生走失事件的主要原因。
목적：분석치태환자주원기간발생주실적원인。방법：대재아과주원기간발생주실사건적치태환자20례적림상자료진행회고성분석，대기병인、주실전인、시간、심획지점급결국진행분석。결과：본조75%적환자위혈관성치태혹노년치태；75%적환자주실적전인위조료자불재현장혹의생（호사）미선교；70%적주실시간발생우12：00～18：00；소유주실환자균피심획，75%적심획지점위우원내；본조주실사건균도치불동정도상해。결론：치태적병리생리특점、호사대치태인지정도적불족급의원관리방면적불족시주원치태환자발생주실사건적주요원인。
Objective:To analyze the cause of wandering incidence in hospitalized older patients with dementia and provide precautionary methods to reduce the incidence of the wandering events. Methods:The clinical data of 20 patients with dementia who wandered in hospital were analyzed. Results:In this study, 75%cases were diag-nosed as vascular dementia or Alzheimer's disease. The main causes for wandering were care workers' off-site or lack of warning or instruction to prevent patients' lost from doctors or nurses. 70% cases wandered at the time within 12:00~18:00. All the patients were found and 75%cases were found in hospital. All the patients suffered varying degree of damage. Conclusion:The clinical characteristic of dementia, nurses' lacking of awareness of de-mentia and deficiencies of hospital management are the main causes of wandering in hospitalized older patients with dementia.
